Patient Cost Transparency Implementation Guide
2.0.0 - STU 2 - Draft United States of America flag

Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

Resource Profile: PCT GFE ServiceRequest

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-servicerequest Version: 2.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: PCTServiceRequest
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.23

The PCT ServiceRequest including details about a service for which a GFE is being requested.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.1.0:

  • New Content

    • Formal Views of Profile Content

    Description of Profiles, Differentials, Snapshots and how the different presentations work.

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest C 0..* USCoreServiceRequestProfile(7.0.0) A request for a service to be performed
    Constraints: prr-1
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    Required Pattern: active
    ... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    Required Pattern: proposal
    ... Slices for category SΣ 0..* CodeableConcept Classification of service
    Slice: Unordered, Open by pattern:$this
    Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
    .... category:us-core SΣ 0..* CodeableConcept Classification of service
    Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... code SΣ 1..1 CodeableConcept What is being requested/ordered
    Binding: Claim Medical Product or Service Value Set (extensible)
    ... quantity[x] SΣ 0..1 Service amount
    .... quantityQuantity Quantity
    .... quantityRatio Ratio
    .... quantityRange Range
    ... subject SΣ 1..1 Reference(US Core Patient Profile(7.0.0)) Individual or Entity the service is ordered for
    ... encounter SΣ 0..1 Reference(US Core Encounter Profile(7.0.0)) Encounter in which the request was created
    ... occurrence[x] SΣ 0..1 When service should occur
    .... occurrencePeriod Period S
    .... occurrenceDateTime dateTime
    .... occurrenceTiming Timing
    ... authoredOn SΣ 0..1 dateTime Date request signed
    ... requester SΣ 0..1 Reference(US Core Practitioner Profile(7.0.0) S | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | PractitionerRole | US Core RelatedPerson Profile(7.0.0) | Device) Who/what is requesting service

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    ServiceRequest.statusrequiredPattern Value: active
    http://hl7.org/fhir/ValueSet/request-status|4.0.1
    From the FHIR Standard
    ServiceRequest.intentrequiredPattern Value: proposal
    http://hl7.org/fhir/ValueSet/request-intent|4.0.1
    From the FHIR Standard
    ServiceRequest.categoryexampleServiceRequestCategoryCodes
    http://hl7.org/fhir/ValueSet/servicerequest-category
    From the FHIR Standard
    ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|7.0.0
    ServiceRequest.codeextensibleUSClaimMedicalProductOrServiceCodes
    http://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimMedicalProductOrServiceCodes
    From this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorServiceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceServiceRequestA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    prr-1errorServiceRequestorderDetail SHALL only be present if code is present
    : orderDetail.empty() or code.exists()

    This structure is derived from USCoreServiceRequestProfile

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest USCoreServiceRequestProfile(7.0.0)
    ... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Required Pattern: active
    ... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Required Pattern: proposal
    ... doNotPerform 0..0
    ... code 1..1 CodeableConcept What is being requested/ordered
    Binding: Claim Medical Product or Service Value Set (extensible)
    ... quantity[x] S 0..1 Quantity, Ratio, Range Service amount
    ... subject 1..1 Reference(US Core Patient Profile(7.0.0)) Individual or Entity the service is ordered for

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    ServiceRequest.codeextensibleUSClaimMedicalProductOrServiceCodes
    http://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimMedicalProductOrServiceCodes
    From this IG
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest C 0..* USCoreServiceRequestProfile(7.0.0) A request for a service to be performed
    Constraints: prr-1
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Identifiers assigned to this order
    ... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
    ... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
    ... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
    ... replaces Σ 0..* Reference(ServiceRequest) What request replaces
    ... requisition Σ 0..1 Identifier Composite Request ID
    ... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    Required Pattern: active
    ... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    Required Pattern: proposal
    ... Slices for category SΣ 0..* CodeableConcept Classification of service
    Slice: Unordered, Open by pattern:$this
    Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
    .... category:us-core SΣ 0..* CodeableConcept Classification of service
    Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... priority Σ 0..1 code routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ... code SΣ 1..1 CodeableConcept What is being requested/ordered
    Binding: Claim Medical Product or Service Value Set (extensible)
    ... orderDetail ΣC 0..* CodeableConcept Additional order information
    Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
    ... quantity[x] SΣ 0..1 Service amount
    .... quantityQuantity Quantity
    .... quantityRatio Ratio
    .... quantityRange Range
    ... subject SΣ 1..1 Reference(US Core Patient Profile(7.0.0)) Individual or Entity the service is ordered for
    ... encounter SΣ 0..1 Reference(US Core Encounter Profile(7.0.0)) Encounter in which the request was created
    ... occurrence[x] SΣ 0..1 When service should occur
    .... occurrencePeriod Period S
    .... occurrenceDateTime dateTime
    .... occurrenceTiming Timing
    ... asNeeded[x] Σ 0..1 Preconditions for service
    Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
    .... asNeededBoolean boolean
    .... asNeededCodeableConcept CodeableConcept
    ... authoredOn SΣ 0..1 dateTime Date request signed
    ... requester SΣ 0..1 Reference(US Core Practitioner Profile(7.0.0) S | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | PractitionerRole | US Core RelatedPerson Profile(7.0.0) | Device) Who/what is requesting service
    ... performerType Σ 0..1 CodeableConcept Performer role
    Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
    ... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
    ... locationCode Σ 0..* CodeableConcept Requested location
    Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
    ... locationReference Σ 0..* Reference(Location) Requested location
    ... reasonCode Σ 0..* CodeableConcept 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service
    Binding: USCoreConditionCodes (7.0.0) (extensible)
    ... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service
    ... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
    ... supportingInfo 0..* Reference(Resource) Additional clinical information
    ... specimen Σ 0..* Reference(Specimen) Procedure Samples
    ... bodySite Σ 0..* CodeableConcept Location on Body
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
    ... note 0..* Annotation Comments
    ... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
    ... relevantHistory 0..* Reference(Provenance) Request provenance

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    ServiceRequest.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    ServiceRequest.statusrequiredPattern Value: active
    http://hl7.org/fhir/ValueSet/request-status|4.0.1
    From the FHIR Standard
    ServiceRequest.intentrequiredPattern Value: proposal
    http://hl7.org/fhir/ValueSet/request-intent|4.0.1
    From the FHIR Standard
    ServiceRequest.categoryexampleServiceRequestCategoryCodes
    http://hl7.org/fhir/ValueSet/servicerequest-category
    From the FHIR Standard
    ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|7.0.0
    ServiceRequest.priorityrequiredRequestPriority
    http://hl7.org/fhir/ValueSet/request-priority|4.0.1
    From the FHIR Standard
    ServiceRequest.codeextensibleUSClaimMedicalProductOrServiceCodes
    http://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimMedicalProductOrServiceCodes
    From this IG
    ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
    http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
    From the FHIR Standard
    ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
    http://hl7.org/fhir/ValueSet/medication-as-needed-reason
    From the FHIR Standard
    ServiceRequest.performerTypeexampleParticipantRoles
    http://hl7.org/fhir/ValueSet/participant-role
    From the FHIR Standard
    ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
    http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0
    ServiceRequest.reasonCodeextensibleUSCoreConditionCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0
    ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorServiceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceServiceRequestA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    prr-1errorServiceRequestorderDetail SHALL only be present if code is present
    : orderDetail.empty() or code.exists()

    This structure is derived from USCoreServiceRequestProfile

    Summary

    Must-Support: 1 element
    Prohibited: 1 element

    Structures

    This structure refers to these other structures:

    Maturity: 2

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest C 0..* USCoreServiceRequestProfile(7.0.0) A request for a service to be performed
    Constraints: prr-1
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    Required Pattern: active
    ... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    Required Pattern: proposal
    ... Slices for category SΣ 0..* CodeableConcept Classification of service
    Slice: Unordered, Open by pattern:$this
    Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
    .... category:us-core SΣ 0..* CodeableConcept Classification of service
    Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... code SΣ 1..1 CodeableConcept What is being requested/ordered
    Binding: Claim Medical Product or Service Value Set (extensible)
    ... quantity[x] SΣ 0..1 Service amount
    .... quantityQuantity Quantity
    .... quantityRatio Ratio
    .... quantityRange Range
    ... subject SΣ 1..1 Reference(US Core Patient Profile(7.0.0)) Individual or Entity the service is ordered for
    ... encounter SΣ 0..1 Reference(US Core Encounter Profile(7.0.0)) Encounter in which the request was created
    ... occurrence[x] SΣ 0..1 When service should occur
    .... occurrencePeriod Period S
    .... occurrenceDateTime dateTime
    .... occurrenceTiming Timing
    ... authoredOn SΣ 0..1 dateTime Date request signed
    ... requester SΣ 0..1 Reference(US Core Practitioner Profile(7.0.0) S | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | PractitionerRole | US Core RelatedPerson Profile(7.0.0) | Device) Who/what is requesting service

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    ServiceRequest.statusrequiredPattern Value: active
    http://hl7.org/fhir/ValueSet/request-status|4.0.1
    From the FHIR Standard
    ServiceRequest.intentrequiredPattern Value: proposal
    http://hl7.org/fhir/ValueSet/request-intent|4.0.1
    From the FHIR Standard
    ServiceRequest.categoryexampleServiceRequestCategoryCodes
    http://hl7.org/fhir/ValueSet/servicerequest-category
    From the FHIR Standard
    ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|7.0.0
    ServiceRequest.codeextensibleUSClaimMedicalProductOrServiceCodes
    http://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimMedicalProductOrServiceCodes
    From this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorServiceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceServiceRequestA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    prr-1errorServiceRequestorderDetail SHALL only be present if code is present
    : orderDetail.empty() or code.exists()

    Differential View

    This structure is derived from USCoreServiceRequestProfile

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest USCoreServiceRequestProfile(7.0.0)
    ... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Required Pattern: active
    ... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Required Pattern: proposal
    ... doNotPerform 0..0
    ... code 1..1 CodeableConcept What is being requested/ordered
    Binding: Claim Medical Product or Service Value Set (extensible)
    ... quantity[x] S 0..1 Quantity, Ratio, Range Service amount
    ... subject 1..1 Reference(US Core Patient Profile(7.0.0)) Individual or Entity the service is ordered for

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    ServiceRequest.codeextensibleUSClaimMedicalProductOrServiceCodes
    http://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimMedicalProductOrServiceCodes
    From this IG

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest C 0..* USCoreServiceRequestProfile(7.0.0) A request for a service to be performed
    Constraints: prr-1
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Identifiers assigned to this order
    ... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
    ... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
    ... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
    ... replaces Σ 0..* Reference(ServiceRequest) What request replaces
    ... requisition Σ 0..1 Identifier Composite Request ID
    ... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    Required Pattern: active
    ... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    Required Pattern: proposal
    ... Slices for category SΣ 0..* CodeableConcept Classification of service
    Slice: Unordered, Open by pattern:$this
    Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
    .... category:us-core SΣ 0..* CodeableConcept Classification of service
    Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... priority Σ 0..1 code routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ... code SΣ 1..1 CodeableConcept What is being requested/ordered
    Binding: Claim Medical Product or Service Value Set (extensible)
    ... orderDetail ΣC 0..* CodeableConcept Additional order information
    Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
    ... quantity[x] SΣ 0..1 Service amount
    .... quantityQuantity Quantity
    .... quantityRatio Ratio
    .... quantityRange Range
    ... subject SΣ 1..1 Reference(US Core Patient Profile(7.0.0)) Individual or Entity the service is ordered for
    ... encounter SΣ 0..1 Reference(US Core Encounter Profile(7.0.0)) Encounter in which the request was created
    ... occurrence[x] SΣ 0..1 When service should occur
    .... occurrencePeriod Period S
    .... occurrenceDateTime dateTime
    .... occurrenceTiming Timing
    ... asNeeded[x] Σ 0..1 Preconditions for service
    Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
    .... asNeededBoolean boolean
    .... asNeededCodeableConcept CodeableConcept
    ... authoredOn SΣ 0..1 dateTime Date request signed
    ... requester SΣ 0..1 Reference(US Core Practitioner Profile(7.0.0) S | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | PractitionerRole | US Core RelatedPerson Profile(7.0.0) | Device) Who/what is requesting service
    ... performerType Σ 0..1 CodeableConcept Performer role
    Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
    ... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
    ... locationCode Σ 0..* CodeableConcept Requested location
    Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
    ... locationReference Σ 0..* Reference(Location) Requested location
    ... reasonCode Σ 0..* CodeableConcept 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service
    Binding: USCoreConditionCodes (7.0.0) (extensible)
    ... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service
    ... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
    ... supportingInfo 0..* Reference(Resource) Additional clinical information
    ... specimen Σ 0..* Reference(Specimen) Procedure Samples
    ... bodySite Σ 0..* CodeableConcept Location on Body
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
    ... note 0..* Annotation Comments
    ... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
    ... relevantHistory 0..* Reference(Provenance) Request provenance

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    ServiceRequest.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    ServiceRequest.statusrequiredPattern Value: active
    http://hl7.org/fhir/ValueSet/request-status|4.0.1
    From the FHIR Standard
    ServiceRequest.intentrequiredPattern Value: proposal
    http://hl7.org/fhir/ValueSet/request-intent|4.0.1
    From the FHIR Standard
    ServiceRequest.categoryexampleServiceRequestCategoryCodes
    http://hl7.org/fhir/ValueSet/servicerequest-category
    From the FHIR Standard
    ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|7.0.0
    ServiceRequest.priorityrequiredRequestPriority
    http://hl7.org/fhir/ValueSet/request-priority|4.0.1
    From the FHIR Standard
    ServiceRequest.codeextensibleUSClaimMedicalProductOrServiceCodes
    http://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimMedicalProductOrServiceCodes
    From this IG
    ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
    http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
    From the FHIR Standard
    ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
    http://hl7.org/fhir/ValueSet/medication-as-needed-reason
    From the FHIR Standard
    ServiceRequest.performerTypeexampleParticipantRoles
    http://hl7.org/fhir/ValueSet/participant-role
    From the FHIR Standard
    ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
    http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0
    ServiceRequest.reasonCodeextensibleUSCoreConditionCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0
    ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorServiceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceServiceRequestA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    prr-1errorServiceRequestorderDetail SHALL only be present if code is present
    : orderDetail.empty() or code.exists()

    This structure is derived from USCoreServiceRequestProfile

    Summary

    Must-Support: 1 element
    Prohibited: 1 element

    Structures

    This structure refers to these other structures:

    Maturity: 2

     

    Other representations of profile: CSV, Excel, Schematron